DOCSLIB.ORG

Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia American Journ al of Nursing Science 2018; 7(2): 73-83 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20180702.15 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia Afaf Mohamed Mohamed Emam 1, Somaya Ouda Abd Elmenim 1, Samah Said Sabry 2 1Obstetrics and Woman's Health Nursing, Benha University, Benha, Egypt 2Community Health Nursing, Benha University, Benha, Egypt Email address: To cite this article: Afaf Mohamed Mohamed Emam, Somaya Ouda Abd Elmenim, Samah Said Sabry. Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia. American Journal of Nursing Science . Vol. 7, No. 2, 2018, pp. 73-83. doi: 10.11648/j.ajns.20180702.15 Received : March 14, 2018; Accepted : April 2, 2018; Published : May 5, 2018 Abstract: Background: Dyspareunia is one of the most common but neglected female health problems which has a significant negative impact on a woman's sexual function. The aim of the study was to evaluate the effectiveness of application of PLISSIT counseling model on sexuality among women with dyspareunia. Design : A quasi experimental design was used. Setting: This study was conducted in outpatient clinic of obstetrics & gynecological department at Benha University Hospital. Sample: A purposive sample of all admitted women for a period of 6 months (280) woman: 200 out of them without dyspareunia and 80 with dyspareunia completed the PILLIST model. Tools: three tools were used I): A structured Interviewing Questionnaire Sheet. II): Dyspareunia assessment tool. III): Female Sexual Function Index (FSFI). Results: showed that the mean age of studied women were (35.21±9.03)years. More than one quarter of them complains of dyspareunia. there were statistically significant differences of the FSFI mean score between pre and post application as regard to elements of FSFI including desire, arousal, orgasm, satisfaction and pain (P<0.001). Meanwhile, there were no statistically significant differences regarding lubrication (P>0.4). Conclusion : PLISSIT counseling model had significant effect in improving sexuality among women with dyspareunia. The study recommended that the PLISSIT model should be used in a tailored and patient-centered approach in conducting sexual assessment and management of female dyspareunia. Keywords: Dyspareunia, Sexuality, PLISSIT Counseling Model Dyspareunia may have a variety of causes. In order to 1. Introduction determine the cause, the location of the pain must first be The sexual pain disorders including dyspareunia are identified. Often, women will describe pain with intercourse highly prevalent yet misunderstood women's sexual health as deep and/or superficial. Deep dyspareunia as the pain is felt problems. Dyspareunia is term referring to painful sex which deep inside the pelvis during penile thrusting and superficial defined as persistent and recurrent urogenital pain occurring dyspareunia as pain experienced at the area of the vulva and before, during, or after sexual intercourse, which is not introitus on penetration. The vast majority of women caused exclusively by lack of lubrication or by vaginismus. experienced superficial dyspareunia [4]. As reported in a study conducted by [1] dyspareunia affects The causes of dyspareunia may be mixed between 8–22% of women at some point during their lives, making it psychological, physiological, socio-cultural and interpersonal one of the most common pain problems in gynecologic causes. Psychological causes could result from fear of pain, practice. Moreover, It's one of the most frequently reported sexual abuse, interpersonal disturbance, stress or anxiety from co-morbidities in women with chronic pelvic pain with rates work or family responsibilities, concern about sexual ranging from 15% to 88% [2]. A worldwide prevalence of performance, conflicts in the relationship with partner, dyspareunia in systematic review is reported that, the rate of depression/anxiety, unresolved sexual orientation issues, dyspareunia range between 8 and 21.8% [3]. previous traumatic sexual or physical experience, body image and self-esteem problems. While , the common physical 74 Afaf Mohamed Mohamed Emam and Somaya Ouda Abd Elmenim: Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia causes of dyspareunia include pelvic inflammatory disease, ''limited information'' about anatomical and physiological chronic pelvic pain, endometriosis, interstitial cystitis and aspects of the sexual function and providing correct irritable bowel syndrome. Also, diseases as thyroid disease, information about expected treatment effects on sexual and diabetes, heart, liver, and /or kidney disease, pelvic injury or reproductive function, without going into complete detail. trauma, pelvic surgery, neurological disorders, alcohol or drug Specific Suggestions (SS) giving specific suggestions for abuse and fatigue [5]. Any condition that results in poor managing common problems that occur during treatment. vaginal lubrication can cause discomfort during intercourse. Intensive Therapy (IT) in a few cases who there are complex The most common causes are drugs that have a drying effect underlying causes for their sexual problems intensive therapy such as antihistamines, certain tranquilizers, and manjuana, will be needed when their problems could not be resolved in and disorders such as vaginal infections, and estrogen the first 3 steps (such as intrapersonal conflicts or deficiencies [6]. psychological problems [13]. Dyspareunia has a significant negative impact on a woman's Nurse is an important member of the health care team to health, self-esteem, sexual relationships, quality of life, and counsel the women in the sensitive and highly charged area of work productivity [7]. Moreover, dyspareunia may lead to human sexuality . Sexuality and sexual health problems are failure to reach orgasm, avoidance of sexual activity, challenging areas for nurses, so should be approached in a way relationship problems and place a woman at risk for the that respects women confidentiality and sensitively explores development of vaginismus. Therefore, careful measurement women needs [14]. Nursing interventions (Education and and description of pain is necessary [8] . [5] explored why counseling on sexuality) are used to assist women to resolve women with early genital pain delay treatment seeking. They their sexual problems [15]. found women cited a belief that the pain was normal, doubt that medical assistance would help and fear of the stigma of 1.1. Significance of the Study having a sexual problem. Therefore, [9] said that talking with Dyspareunia (Painful sex) is a common but neglected women about sexual pain disorders requires special attention female health problems with a prevalence of up to 39.5%, to the sensitivity of the issue and an empathic attitude to the imposing a significant burden on women’s sexual health and biological “truth” of pain this is the basis of a very rewarding relationship [1]. In Egypt 31.5% of women were suffered from clinician-patient relationship and is the basis of an effective dyspareunia as reported by [16]. therapeutic alliance. Because women with dyspareunia may experience a variety Today, clinical research indicates that combinations of of sexual health difficulties and their most significant barriers different treatments are much more useful than single to seeking help often result from embarrassment, stigma and therapies. As non-medication therapy is very important in beliefs about both the cause of the sexual pain and the efficacy dyspareunia, the use of counseling methods can also be of treatment. The nurse is an ideal member of the health team beneficial as women are advised to understand their problems to counsel women in the sensitive and highly charged area of and analyze them after identifying unknown issues. Numerous human sexuality. Therefore, sexual-counseling strategies can frameworks are available for sexual advice that can help be used by the nurses during the assessment and treatment health care providers to implement appropriate and effective processes [17]. Therefore, this study was aimed to evaluate the support strategies for intervention in the cases of sexual effectiveness of application of PLISSIT counseling model on concerns and problems [1]. sexuality among women with dyspareunia. In addition, sexual counseling is an interaction with women that includes information on sexual concerns and safe return to 1.2. Aim of the Study sexual activity, as well as assessment, support, and specific advice related to psychological and sexual problems, also The aim of this study was to evaluate the effectiveness of referred to as psychosexual counseling. Sexual counseling application of PLISSIT counseling model on sexuality among take place during a one-to-one exchange with a trained person, women with dyspareunia with the aim of solving problem and offering advice [10]. 1.3. Research Hypothesis The PLISSIT model was developed in 1976 by Jack Annon, is a counseling model for sex therapy that can help PLISSIT counseling model will be effective for improving practitioners of all stripes address sexual health in their sexuality among women with dyspareunia women encounters. It has four steps, which start with very broad information-seeking and narrow to specific referrals 2. Subjects and Method and interventions for woman's issue [11] . The letters of the name refer
Load more

Recommended publications
  • Sexual Health Assessments in Nursing Practice: Quantitative Analysis of Nurses’ Behaviors and Perceptions
    University of Tennessee at Chattanooga UTC Scholar Student Research, Creative Works, and Honors Theses Publications 5-2020 Sexual health assessments in nursing practice: quantitative analysis of nurses’ behaviors and perceptions Allison Culp University of Tennessee at Chattanooga, [email protected] Follow this and additional works at: https://scholar.utc.edu/honors-theses Part of the Nursing Commons Recommended Citation Culp, Allison, "Sexual health assessments in nursing practice: quantitative analysis of nurses’ behaviors and perceptions" (2020). Honors Theses. This Theses is brought to you for free and open access by the Student Research, Creative Works, and Publications at UTC Scholar. It has been accepted for inclusion in Honors Theses by an authorized administrator of UTC Scholar. For more information, please contact [email protected]. Running head: SEXUAL HEALTH ASSESSMENTS IN NURSING PRACTICE 1 Sexual health assessments in nursing practice: Quantitative analysis of nurses’ behaviors and perceptions Allison L. Culp Departmental Honors Thesis The University of Tennessee at Chattanooga Nursing Examination Date: November 1, 2019 Dr. Katharine Kemplin Professor Natalie Owsley Assistant Professor of Nursing Research and Graduate Statistics Lecturer of Nursing Thesis Director Department Examiner SEXUAL HEALTH ASSESSMENTS IN NURSING PRACTICE 2 Abstract Sexual health is an important yet often neglected component of patient care. Most research on sexual health assessment and its place in nursing occurred from the 1970s to the early 2000s, leaving a gap in understanding nurses’ current attitudes and beliefs toward assessing patients’ sexual health. Frequencies by which sexual health assessments (SHA) are performed by nurses today is also unknown. In this study, we aimed to provide an updated understanding of attitudes, beliefs, and practices of nurses regarding SHA.
    [Show full text]
  • Toolkit Modules: Core Competencies: Communication Skills
    CONFIDENTIALITYBuilding AND Blocks CREATING to Peer Succes: A BOUNDARIESToolkit for Training HIV-Positive Peers IN THE WORKPLACE (CONT.) CORE COMPETENCIES CORE COMPETENCIES: COMMUNICATION SKILLS This toolkit is separated into general categories in order to allow easy access to the large volume of information being presented. All of the individual modules are made to stand alone and include detailed instructions as well as the time, materials, and preparation needed for each module. When selecting modules for your training, it maybe useful to get a synopsis of each module by reviewing the “Objectives” and the “In this activity you will” sections. Building Blocks to Peer Success 1 Core Competencies: Communication Skills COMMUNICATION SKILLS* ABOUT THIS ACTIVITY Instructions Time: 55-60 minutes 1. Icebreaker #1- Pass out picture of woman (Handout# 1) and ask participants what they see. Responses might vary from young Objectives: By the end of this session, girl looking sideways to old woman with big nose. The point participants will be able to: of this activity is that everyone does not see the same thing, so • Understand the purposes and communication is utterly important. benefits of good communication. • Describe a few skills that may be Icebreaker #2- Distribute to the participants “The Cash Register used to enhance communication with Worksheet” handout. Give them 4 minutes to complete in pairs. clients. After everyone has completed it, tell them that the answers are: #3 false & #6 is true and rest of the answers are “don’t know”. Training Methods: Lecture, Large Discuss with the group why they don’t know the rest.
    [Show full text]
  • Exploring and Measuring the Perceived Impact of Visible Difference Upon Romantic Relationships Nicholas David Sharratt a Thesis
    Exploring and Measuring the Perceived Impact of Visible Difference upon Romantic Relationships Nicholas David Sharratt A thesis submitted in partial fulfilment of the requirements of the University of the West of England, Bristol for the degree of Doctor of Philosophy Faculty of Health and Applied Sciences, University of the West of England November 2020 Table of Contents i. Abstract .......................................................................................................................... 9 ii. Acknowledgements and Dedications .......................................................................... 10 iii. Abbreviations ............................................................................................................... 11 1. Introduction ................................................................................................................. 13 1.1. Introduction to this Thesis ...................................................................................... 13 1.2. Overview of this Chapter ........................................................................................ 13 1.3. Intimacy and Romantic Relationships ..................................................................... 13 1.3.1. Intimacy and Romantic Relationships ............................................................. 13 1.3.2. The Benefits of Intimate, Romantic Relationships .......................................... 16 1.3.3. Attraction and Attractiveness ........................................................................
    [Show full text]
  • Certification Review for Rehabilitation Nurses I Certification Review for Rehabilitation Nurses Ii the REHAB NURSING SERIES
    Certification Review for Rehabilitation Nurses i Certification Review for Rehabilitation Nurses ii THE REHAB NURSING SERIES CERTIFICATION REVIEW FOR REHABILITATION NURSES WORKBOOK Pamela Masters-Farrell, MSN, RN, CRRN This workbook is for use with the course Certification Review for Rehabilitation Nurses, which is part of the Rehab Nursing Series published by Rehab ClassWorks, LLC®. Notice: The clinical information and tools used in this course are based on current literature, research, and consultation with nursing, medical, and legal authorities. To the best of our knowledge, it reflects current practice. However, appropriate information sources should be consulted, especially for new or unfamiliar procedures. This course contains many references and resources using internet addresses. Although these sites were current at the time of the research, writing, and/or publication, many internet postings are dynamic and subject to expiration or deletion over time. Therefore, Rehab ClassWorks, LLC cannot guarantee currency of electronic references. Please check for the latest information on a cited topic using online search engines. ©2012 Rehab ClassWorks, LLC 14330 S. 2200 W. Bluffdale, UT 84065 Phone: (888) 294-0412 Fax: (801) 253-7520 Email: [email protected] Web Address: http://www.rehabclassworks.com All rights reserved. This document, or any part thereof, may not be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, storage in an information retrieval system or otherwise without prior written permission of Rehab ClassWorks, LLC. Purchasers of a registered multiuser license for the course are granted permission for copying of the workbook and multimedia course for use by staff covered by said license.
    [Show full text]
  • Disabled Sex
    9/11/2019 DISABLED SEX Kim Austin-Baker Barbara Hill, OTRL Americans with Disabilities To empower people with disabilities to make 2015 Census Data 38 million Americans living with informed decisions regarding their sexual and disability 18.5 million with Cognitive reproductive health and to provide a better and/or Ambulatory Disabilities between ages 18 and 65. understanding of the need for sexual education and All of which are sexual beings! resources as related to the disabled community. Disabled Population Cognitive or Ambulatory 1 9/11/2019 Yes, disabled people can and do have sex, relationships and Today’s Topics families! Health Dating, Functionality Services & Sex Intimacy & & Sex Aides Education Relationships Fertility, Sexual Abuse Pregnancy & & Consent Birth 2014 STUDY BY DYER & NAIR Change and Awareness is 97% of professionals Necessary to believed that the topic Enhance & of relationships and intimacy should be Promote Full-Life discussed, but only 36% Recovery actually addressed these issues with their following clients. Traumatic Injury 2 9/11/2019 “ Sexual Abuse & ” Consent Sexual consent is actively agreeing to participate in a sexual activity Both people must agree to sex before being sexual — every single time — with someone. for it to be consensual. 3 9/11/2019 “A person is guilty of criminal sexual The term “sexual assault” means any conduct if the person engages in sexual unwanted, non- penetration or contact and the actor knows consensual sexual contact of any kind or has reason to know that the victim is (including kissing) mentally incapable, mentally obtained through the incapacitated, or physically helpless”. use of force, threat of force, intimidation, or RAINN 2019 coercion Unwanted, non-consensual sexual contact that includes penetration (i.e.
    [Show full text]
  • Expanding Instruction of Human Sexuality in Counselor Education Rachel Willard
    James Madison University JMU Scholarly Commons Educational Specialist The Graduate School Summer 2019 Expanding instruction of human sexuality in counselor education Rachel Willard Follow this and additional works at: https://commons.lib.jmu.edu/edspec201019 Part of the Counselor Education Commons, and the Psychology Commons Recommended Citation Willard, Rachel, "Expanding instruction of human sexuality in counselor education" (2019). Educational Specialist. 143. https://commons.lib.jmu.edu/edspec201019/143 This Thesis is brought to you for free and open access by the The Graduate School at JMU Scholarly Commons. It has been accepted for inclusion in Educational Specialist by an authorized administrator of JMU Scholarly Commons. For more information, please contact [email protected]. Expanding Instruction of Human Sexuality in Counselor Education Rachel Willard A research project submitted to the Graduate Faculty of JAMES MADISON UNIVERSITY In Partial Fulfillment of the Requirements for the degree of Education Specialist Department of Graduate Psychology May 2019 FACULTY COMMITTEE: Committee Chair: A. Renee Staton, Ph. D. Committee Members/ Readers: Debbie Sturm, Ph. D. Michele Kielty, Ph. D. Acknowledgments Not only would this project not have been possible, but I would not be the person I am today without the guidance and encouragement of many people. To my dear friends, thank you for your humor, open arms and hearts, patient ears and for reminding me of my value when I struggled to see it. To my tiny but mighty cohort, thank you for inspiring me with your compassion, insights, and courage, and for the heartfelt reminders that we would make it through even the toughest moments we faced these past three years.
    [Show full text]
  • Sexuality and the Older Adult
    4/29/2019 Interprofessional Geriatrics Training Program Sexuality and the Older Adult HRSA GERIATRIC WORKFORCE ENHANCEMENT PROGRAM Funded by HRSA Grant #U1QHP2870 EngageIL.com Acknowledgements Author: Valerie Gruss, PhD, APN, CNP-BC Editor: Memoona Hasnain, MD, MHPE, PhD Learning Objectives Upon completion of this module, learners will be able to: 1. Identify societal attitudes and cultural factors affecting older adult sexuality and sexual functioning 2. Discuss the multidimensional needs of aging sexual minorities (lesbian, gay, bisexual, and transgender persons) 3. Describe the role of clinicians in educating, screening, assessing, and managing sexual concerns and dysfunctions among older adults 4. Identify risk factors and screening strategies related to the development of sexually transmitted infections (STIs) among older adults 1 4/29/2019 Background Key Definitions World Health Organization: • Sexuality is defined as a central aspect of being human throughout life and encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy, and reproduction Sexual health: “…a state of physical, emotional, mental, and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity.” http://www.who.int/reproductivehealth/topics/sexual_health/sh_definitions/en/ (World Health Organization, 2017) Sexuality Among Older Adults: Myths vs. Reality Misconception: sexual desire diminishes as we age; research supports that this is not the case Misconception: sexual problems
    [Show full text]
  • Nurse Practitioners' Understanding of Sexual
    NURSE PRACTITIONERS’ UNDERSTANDING OF SEXUAL HEALTH INTERVENTIONS By DEIRDRE D. RAIMEY Submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice Committee Chair: Dr. Joyce Fitzpatrick Frances Payne Bolton School of Nursing Case Western Reserve University May 2017 Sexual Health 2 CASE WESTERN RESERVE UNIVERSITY FRANCES PAYNE BOLTON SCHOOL OF NURSING We hereby approve the scholarly project of Deirdre D. Raimey Committee Chair Dr. Joyce Fitzpatrick Committee Member Dr. Carol Musil Committee Member Dr. Jeffrey Jones Date of Defense March 24th 2017 *We also certify that written approval has been obtained for any proprietary material contained therein Sexual Health 3 Copyright© (2017) by Deirdre D. Raimey, MSN Sexual Health 4 Abstract Aims. The purpose of this study to examine certified nurse practitioners’ learning needs related to sexual health concerns, to assess frequency of sexual health interventions, and to evaluate the perceived barriers to the application of sexual health interventions in health care. Design. Descriptive study administered via internet-based questionnaire. Methods. A convenience sample of 574 certified nurse practitioners (CNP) was obtained from Ohio Board of Nursing. The Learning Needs for Addressing Patients’ Sexual Health Concerns was used to assess knowledge. The Nursing Interventions on Sexual Health Scale was used to assess the frequency of sexual health interventions used in nursing practice. The perceived barriers to the utilization of sexual health interventions among CNPs were assessed using a checklist based on the literature pertaining to sexual health care in nursing. Results. “The influence of treatment on sexuality” was the highest learning need. “Biopsychosocial factors on altered sexual activity” was the lowest learning need.
    [Show full text]
  • Phantom Limb Pain Craig Murray Editor
    Amputation, Prosthesis Use, and Phantom Limb Pain Craig Murray Editor Amputation, Prosthesis Use, and Phantom Limb Pain An Interdisciplinary Perspective  Editor Craig Murray School of Health & Medicine Division of Health Research, Bowland Tower East Lancaster University Lancaster LA1 4YT, UK [email protected] ISBN 978-0-387-87461-6 e-ISBN 978-0-387-87462-3 DOI 10.1007/978-0-387-87462-3 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009939836 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connec- tion with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Contents 1 Developing an Interdisciplinary Perspective on Amputation, Prosthesis Use, and Phantom Limb Pain: An Introduction................... 1 Craig Murray 2 Need-Directed Design of Prostheses and Enabling Resources............... 7 Elaine Biddiss 3 Ethical and Medico-Legal Issues in Amputee Prosthetic Rehabilitation............................................................................................
    [Show full text]
  • Population Health Spring 2018 Population Health Vol
    Jefferson College of Population Health Spring 2018 Population Health Vol. 31, No. 1 Matters Optimizing Older Adult Sexual Expression Sex is Alive and Well talk about Eddy today?” My response: “Sure, Sexuality is a central aspect of being human Most people are uncomfortable when tell me more about Eddy.” Older adult: and encompasses sex, gender identity and confronted with issues relating to older “Eddy is my vibrator.” roles, sexual orientation, pleasure, intimacy adult sexuality. In my experience as a trainer and sexual health; and it is influenced by and sexuality educator for close to 25 years, A man in his 80s talked about how making social, economic, political, cultural and I have talked about sex with people of all love to his wife (now deceased) was “the religious factors. We express our sexuality ages: young girls and their parents (mostly best sex he ever had, and I still think about in our thoughts, fantasies, desires, attitudes, their moms) about what to expect in those years.” Another person asked whether values, and behaviors, and these change puberty, high school and college students or not oral sex was still “sex” and if it was throughout our lives. navigating their way through mating and “safe”. A woman shared, “It’s been so good dating, adults who were incarcerated and/ to talk about sex and relationships. I haven’t Implications for Practice or in recovery, and older adults and their talked about it to anyone in years, these Sexual expression and intimacy among service providers. Human sexuality is a conversations bring back such pleasant older adults is a reality that providers who compelling topic, and the curiosity and memories.” A 70+ year old transwoman work with them must be prepared to enthusiasm it arouses is perfectly normal talked about her gender transition process face.
    [Show full text]
  • Final Report of the Attorney Galvan, A., Hare, T
    Indian Journal of Health, Sexuality & Culture Volume (6), Issue (1) International Editorial Advisory Board Members Prof. Rainer Schulze Dr. Senthourn Sunil Raj Prof. Surya B. Parajuli Professor Emeritus Lecturer in Law Prof. & Head Department of History and Co-Director, MA in Human Rights, Department of Community Human Rights Centre Globalization and Justice Research & Development Program University of Essex, UK Keele University, UK Birat Medical College & Teaching E Mail- [email protected] E Mail- [email protected] Hospital, Nepal E Mail- [email protected] National Editorial Advisory Board Members Dr. Santosh Kumar Mishra Dr. Adarsh Tripathi Prof. Nov Rattan Sharma Senior O & G Specialist Additional Professor Professor Sanjita Maternity Care & Hospital, Department of Psychiatry, King Department of Psychology Bhubaneswar, Odisha, India George's Medical University, Maharshi Dayanand University, E Mail- [email protected] Lucknow, UP, India Rohtak, Haryana, India E Mail- [email protected] E Mail- [email protected] Editor-in-Chief Executive Editor Dr. Sujit Kumar Kar Dr. Saumya Ranjan Mishra Associate Professor Indian Institute of Sexology, Sanjita Department of Psychiatry, King Maternity Care & Hospital George's Medical University, Plot No-1, Ekamra Marg, Unit-6, Lucknow, UP, India Bhubaneswar-751001 E mail- [email protected] E Mail- [email protected] Editorial Board Members Prof. Ambalika Sinha Dr. Manju Agarwal Dr. Apurva Kumar Pandya Professor Prof. & Dean Scientist-D Dept. of Humanities and Social Sciences Amity University, Lucknow Campus, Regional Resource Centre for Motilal Nehru National Institute of UP, India Health Technology Assessment Technology, Allahabad, UP, India E mail- [email protected] Indian Institute of Public Health, E Mail- [email protected] Gandhinagar, Gujrat, India Dr.
    [Show full text]
  • Addressing the Sexual Problems of Iranian Women in a Primary Health Care Setting: a Quasi-Experimental Study
    3/2/2019 Addressing the sexual problems of Iranian women in a primary health care setting: A quasi-experimental study Iran J Nurs Midwifery Res. 2015 Jan-Feb; 20(1): 139–146. PMCID: PMC4325406 PMID: 25709703 Addressing the sexual problems of Iranian women in a primary health care setting: A quasi-experimental study Fatemeh Rostamkhani,1 Fatemeh Jafari,2 Giti Ozgoli,3 and Masomeh Shakeri4 1Department of Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran 2Department of Public Health, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran 3Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran 4Department of Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran Address for correspondence: Dr. Fatemeh Jafari, Etesami Street, School of Health, Department of Public Health, Zanjan, Iran. E-mail: [email protected] Received 2013 Aug 18; Accepted 2014 Sep 2. Copyright : © Iranian Journal of Nursing and Midwifery Research This is an open-access article distributed under the terms of the Creative Commons Attribution- Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: The World Health Organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. Despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. This study was conducted to evaluate the efficacy and feasibility of the first two steps of PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Treatment) model for handling of women sexual problems in a primary health care setting.
    [Show full text]